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Abstract Much has already been written concerning epileptiform seizures in cases of intracranial neoplasm. In most reports the frequency and type of epileptiform attacks are discussed in reference to the location of the tumor (Parker, Gibbs); little or no attention has been paid to the histologic type of the lesion. This kind of approach has been attempted only by R. Groff, in a recent contribution discussing epileptic attacks in cases of meningioma. Of late it has been recognized that lesions situated in certain cerebral areas do not always produce a constant neurologic syndrome and that the clinical signs may vary in accordance with the histologic nature of the disease (Bailey and Cushing). From this point of view I have analyzed the frequency and type of epileptiform attacks in cases of glioma. Special consideration has been given to the clinical symptomatology of the various subgroups of glioma. MATERIAL This paper is based References 1. In this paper the term frontal will be used only for the region anterior to the precentral gyrus. Lesions occupying chiefly the rolandic and postrolandic gyrus will be listed as gliomas of the frontoparietal region. 2. In a few cases there was some doubt as to the type, duration and frequency of the epileptiform attacks. This may have been due to insufficient information or inadequate observation by the patient or his relatives or may have been caused by an incomplete medical investigation. The fact that the neurologist or the neurosurgeon often has no opportunity to observe the attacks may account for this. 3. I am not including here the hallucinations observed in many cases of purely psychiatric conditions. 4. The ratio of the number of cases in which epilepsy occurred to the number in which it did not occur will be referred to in this paper as the epilepsy index. 5. Deficiency symptoms are those due to loss of function dependent on the destruction of nerve tissue. 6. 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Archives of Neurology & Psychiatry – American Medical Association
Published: Feb 1, 1936
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